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HEIGHT CALCULATIONS
'/ 4 - 98.22 - 25'-
Ave. Grade - 96.9'- 99.08'- 99.82�- 97.06 123.2 2 AAI, OVED
Existing Ridge Elevation - 121AT' LESS THAN 125.2?, PIP . 'r—]
$,TREEI FILL
STREETHLE
CITY OF EDMONDS
usE , PERMIT 91
IN
" ' jq�lifq NUMBER
CONSTRUCTION PERMIT APPLICATION
og ITE/APT #
ADDRESS "o
OWNER NAME/NAME OF BUSINESS
PkC�4^_P-T-, WiTTr
LE GAL DESCRIPTION CHECK
SUBDIVISION NO,
LID NO.
Z
1:
0
I
MAILING ADDRESS
L) - WO 7'L- LAJ
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING — REQUIRED .�DICATION
SED
TESCP pr ad
RW P.rmpil Required ' .44
Sir.., Permit Req'd 0
InspecUtio'en Required X
Sidewalk Required 0
Z
CITY ZIP
ck sc, 7- Q
TTFCFFi7i57iT0PBER
4V
1 2-F3 11 ).%1
NAME
REMARKS
L)
ADDRESS
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CITY Z.,
ITELEPHONE NUMBER
Ci �r
Is \-I Q(Q3ig,
NAME
MLuicie Cc��ST71J.Acrlw
ENGINEERING MEMO DATE BY
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ADDRESS
ETER SIZE
SUPPLY SIZE
NO. OF FIXTURES.
0
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-1 2 14 �J(Cr -/LSL�,A
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8
IBUILDING
I
CITY ZIP
�_rTL4.::. C. � I % Cl
ELEPHONE NUMBEW_
IT
REMARKS
STATE LICENSE NUMBER
Mr_BP_ic,i i 64'bR
SIGN AREA
ALLOWED PROPOSED
SEPAREVIEW
COMPLETE
ADS NO.
Legal Description of Property - include all easement��
9
2. zor-r oiz W 1:!�_2. Zr
I
1EXEMPT
EiP
.RELNE.4
Pt L4-)4b r-� - I-WiF c-r-- Lj.-�T
VARIANCE OR CU
PL�WUN.Q REVIEW
L)J
BY D
i;
VOL. JIZ) L tFX!t-a kkj -I Z,'Z
i3SE
ETBACKS - FEET HEIGHT
a
FRONT 2. 5- SIDE '7 REAR/
t.
LOT COVEFA
Z
Tax Account Parcel No. 85- IS9 a-&
RFMARK5
NEW RESIDENTIAL PLUMBING
ADD/ALTER COMMERCIAL M ECHANICAL
APT.BLDG.
0 REPAIR 11 SIGN
CHECK . ED BY
TYPE OF CONSTRUCTION CODE
I A) 198
HEIGHT
2-S
Z
0
DE..Ll.. GRADING CYOS. I FENCE x _FT)
CARPORT swim
REMODEL GARAGE POOL.
E]wODD STOVE I RETAINING WALL/
INSERT I I ROCKERY RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
SPECIAL INSPECTOR
REQUIRED
E3 YES
CCUPZY
ROU P
3
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 305
NA4-�- , Dew- tom Uribit
S j LP, ANDA
M
NUMBER OF STORIES
UM BER OF
.a
DWELLING
IN
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
i ban, A L, 6,tkmiz
FINAL INSPECTION REQUIRED
VALUATION
FEE
FEE
PLAN CHECK FEE
_7
BUILDING
44" 026
3/5-
PLUMBING
Plan Check No. 131
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGWILL
Any construction on the public domain (curbs, sidewolks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Pays
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENO. INSPECTION FEE
0
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
x
employees, and agents from any and all claims for damages of
PLAN CHECK DEPOSIT
whatever nature, arising directly or Indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
01
I
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
TOTAL AM OUNT DUE
'41t
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
u Or Z a a an a n
' d g t 0 ' "' Ow or,
a authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and in doing the work authoriz- AUTHORIZES This application is not a permit until
I re ' let In g Con S' r of
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
0 Y. no person W.. be an
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
State .1 W hington I
lion Insuranc INSPECTION acknowledged in space provided.
C
SIGNATURE (OWNER OR AGENT) DATE GNED DEPARTMENT
OFF C SSG T RE E
U
-C, CITY OF
EDMOND� .
'55-
;��
CALL FOR RELEASELr13Y:
ATTENTION INSPECTION 4,OTE
/
IT IS UNLAWFUL TO USE OR OCCUPY A BUIL61NG OR STRUCTURE —
UNTIL A F:NAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202 ORIGINAL - File YELLOW - Inspector Lj
A CERTIF CATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK - Owner GOLD - Assessor
d"
CITY of EDMONDS
RECEIVED S I D E
=Nunn
LL
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00
CD
For Inspection Call 771-3202
MAY *o 1911
SEWER, PERMIT
PERMIT, NOA.733 I
PUBLIC WORKS
Address of Construction: a 2- Z 0 92-'r- W
Property Legal Description (Include all easements): EDMONDS
IALAT9ENT
PLANT
Owner and/or Builder:
Contractor & License No:
Singl:e Family Residence
Multi -Family _ - (No.. of Units / )
4- e?
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No 6,,-' Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
6ross other Private Property: No Yes ('If Yes',,',easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
16ertif that I have -read and shall comply Date
W�Cth the items listed on the back.
Permit Fee:
T�unk Charge:
Assessment Fee:
issued By:
Date Issued��' 6
Receipt No.: -3,ew
Partial Inspection:
Comments ___ff a —te Initial
Final Inspection Approved:
&57
"ate in i7l
Rejected:
ason
Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh-ite Copy File Green Copy - Inspector
Buff Copy - Applicant
NOTICE—
r
c
...w-.a r.r a 7n--Y- y ... 0 f a-- U-
The inform ation'shown on the attached
for use by the City Of
map(s) was compiled.
Edmonds, its Employees and Consultants.
Th,.e City of 'Edm.onds does not. warrant the
accuracy of anything set for.th on t ' hese
m 2 p (*S*'-). A n . y person or entity -requesting a
copy.should conduct an.independent
orm . ation shown o
inquiry regarding the inf
but not limited to,
-rn a p
the location of any sewer stub shown. Suc
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neitheir the r-ty of Edrnon(JAS/ nor its
M p-,-O-yee-s 0-r off icers -sha-H be 1-`I a-b-11--e for thE
on ffs map(5), nor for
infor mation g'V e' Ided based
entation prov
any one repres
upon said. map(s).
Si e Sewer Drawin
The City of Edmonds EASEMENT NO . ...................... ..............
NEW CONSTRUCTION REPAIRS E LID NO . ...... ......... .- ASMT. NO - ------------------
OWNER ----------------------------------------- ----------- ------------- ---------------------------- CONTRACTOR FPA",MlXr - ------ .................... PERMIT NO.
JOB ADDRESS 2122-0 ............ -------- 9-2-miD ... PL-,--W� ----- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - - ---------- EM40NDS ----
TREAT%IENT P LANT
4"TEST -me
op
C�DHNFX-1 -a To
12XIST 114 a. er P�-
caltweft 7
PWW-0001-11/75 (REV.11/78)
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So- PROP. !=104F-
Approved:
f�tlll 4i- .......... --------
DATE.� .... .. z 9j. IYS5 ...... By Lf ----- ----
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APR 111985-
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CITY OF EDMONDS ASSET INFORMATION SHEET
0"NE W ASSET NO.
ADDITION ADDITION TO ASSET NO.
RETIREMENT
DESCRIPTION/
SERIAL NO.
LOCATION DEPT. NO.
A
"PURCHASE ORDER NO. PROJECT NUMBER'
PURCHASE ORDER DATE
TROJECT COMPLETION DATE
COST COST 5 2,
c
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
VERIFIED BY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT PROCESSED
ANNUAL DEPRECIATION AMOUNT BATCH NO.
G.L. ENTRY
REFERENCE DATE
tbnp
INITIAL
DEPARTMENT FILE
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APR 111985
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END MAIN :� PCIST 5E.RVICE
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(:3'E.-W Erjc.-r-- PVS)
0/4" P E.. I P MAIN I:5'W (:T-
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STREET FILE
6-m *a vok E=
REVISIONS
DATE I BY
NOTES'. 13<8
vid
I CALL 48 HOURS D k oQD 9,) .
BEFORE YOU DIG
1-800-424-5555
L
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Go-13-3
(0.1 1
9.1 1 1 1 V4" R E. CAf- 152-(030
8.1 211114" f-E. 90- ELL- &�o-325
-7 5o'l// 10 wf�--- 8,5-930.
COMPL-E.-rff- RC> E�OX 50-37C)
IY4" P.G. CUR?� ccx--�-- .#'0-329-3 5G- 1,75
4. jV4"I-RANe,1T10N f=k7,TttA(Z-.> 7e)--795
-3, 1Y/4"--5E-R\,1ICE -TE.E Yf H I -T 500 _76-0-70.
12 #10 0a-TEC--rkc�N WIRE 815-1)140
1. ?SGI 11/4"PF-- PIPS 70-t-70
ITEM OUANT.1 DESCRIPTION STOCK NO.
BILL OF MATERIAL
PERMIT ED M 0 NIZ�S TAX CODE 8-5
PERMIT D. G. R. 0(0- a-Els
PERMIT 1/4 S EC. Ne a5-?--7-3
PERMIT PLAT . I (o,-j - 0C.2-7
OP MAP a
%A -hingtm AREA
Natur-M Gm
A Waiv-gtcn Et-rgy Co-o�rN SEQ. NO.
IY4" PE. T NAIN EXTENS�QN
-rC SF-RVF-
212?C) 9ZND PL W (PARCF-L'e;)_
DW N. J. I R G 0-'43-Z I R R
JOB G65:5-F-39
APPD. CHK'D. DRAWING
SCALE A PP. 853-239
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31
^arll%
o I hEE'll'o FILE
CITY OF EOMONDS
c4v.: Q�11A . if,610-.0s. Man
SINGLE FAMILY HULYIPLE COW( 111 Al
EN61NE.ERING & PUBLIC WORKS
P R. O.J E. C.T R E V I E
C.'H E C K
PROJECT uAliE CONTACT hkll[ TELEPHONE NWER
ACCESS SLOPE AND VEHICLE ACCESS
VILAIKAGE PLAN
STREET FILE
MC,AL 01SCRIPTION VIRIFICA110.4
QUIT CLAIMIKOICATIOuS
fASIMCHT - PUOLIC/PRIVATE
CALCULATE SMR COMECTION If ljo L'ID i
SIRM PAVING REQUIRED
CURB AND GUMR REQUIRED
SIDWALK REQUIRED /Vo
CURB CUT [OR DRIYEWAY.RIQUIRED
R1011-Of-WAY CONSTRUCTION PEWIT 'REQUIRED
BOtIO REOLIR(D fOR PUBLIC MPROVNENTS,
STREET NAME SIGJ4 REQUIRED
CJIIIfR SIGIIING
fAlSillic. wAlffl I'Aill
z-1b 16 /
(ADDITIONAL COMENTS On E
WMR AAIH AIQUIR[I)
SfAVI(f LI-11 REQUIRED
11yolwil SIZE filsilliG LEA
11TORM11 REWIRED PER FIRE Coqt SIZE
CROSS c(wilifcTioll I)Ispfcllou
WATER ilfTER CHARrif A.Mulp'll)
A(Vifu By DAY(
(AWITIOILAL COWLENTS M I
ir SAMIARY MIER OMWING IILJVB . ER FILE MLFIBCR
w SIDE SEWER I AYAILM ILITT SMITA.RY SNIR-COVIECTION FEE REOUIRED
OPEN D1101 Ix.isillir, RfQuluo
IX CULVIAT RfqUJR[O
SIZE
CAMI BASIN HOUIR[D
v INDICATED 0" SITE PLAN
ShDULD(R MIRAGE IVINIAIN COLLEC1101 Otl SHALI dP1X—fWlVF
'�"Motl RlQulm
cc INDICATED 0,1 S'17[ PLAX
0 SOIL CO801110ti UOUND kAICR FIELD CHECK[ 0
.90 P.1virw by
-7
(ADDITIONAL C0wXmTS ON W
PAT[
f. i I
USE A,.,/PERMIT
CITY OF EDMONDS ZONE ez_ NUMBE R
CONSTRUCTION PERMIT APPLICATION joe A ___�
NAME IOR NAME OF BUSINESS) ADDIFIE562/220 q2l;v
M CAL t,SIA- yaiek� ii..a LEGAL DESCRIPTION CHECKI SUBDIVISION NO. 111D NO.
co,S:6 gol
UJ MAILING ADDRESS 7�
Z
0
ILIA,- �,A
CITY V TELnHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING '40 REQUIRED DEDICATION
2 q PROPOSEE
NAME I' _7
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
LLU) 7DDRESS -STREET USE PERMIT REQUIRED El
0%� A SEE ENGINEERING MEMO DATE
'ICITY ITELI!PHO'NE NUMBER
4 SEE PIW DEPT. REVIEW CHECK IST ATED_
NAME
ADDRESS
CITY V TELEPHONE NUMBER
L^ C I /A I R 'A e7) I I W 73 —7
STATE 110ENSE NauMlle I CIfY LICENSE NUMBER
LcTg�il Description of Property - Include all easements
(show below or attach four coples)
aNEW
RESIDENTIAL
1:1 PLUMBING
ADDIALTER
NON-RESIDENTIAL
E] MECHANICAL
REPAIR
El RETAINING WALL
SIGN
DEMOLISH
EXCAVATE
El OR FILL
FENCE
L_ x _FT)
r_1 PRE -MOVE INSP.1
r --- I swim
_EJ SIDE SEWER WATER LINE
a P: [-]
: E]
cc
0
�! NUMBER OF STORIES INUMBEROF
UVVLLLINU
UNIIZ�
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA ENV. REVIEW
ALLOWED I ' PROPOSED COMPLETE i EXEMPT
VARIANCE OR CU
NING
ADI3 NO.
ISHORELIN
YARDS LOT COVERZE Z
Z
FRONT ?I D? REARI Z
REMARKS
I IL
BY TYPE OF CONSTRUCTION CODE
I I/— 4j 1 1 e4
SPECIAL INSPECTOR
REQUIRED
1:1 YES [,;,At
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
w successors in interest, agrees to indemnify, defend and hold
(n
Lu harmless the City of Edmonds, Washington, its officials,
P
employees, and agents from any and all claims for damages of
cr
< whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of. this permit shall not be deemed to
modify,. waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
0
nor limit in any way the City's ability to enforce any ordinance
provision."
I hereby acknowledge that I have read this application; that the
Information given is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code * of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
INSPECTION
DEPARTMENT
CITY OF
C n h A n K I rN C
GNATURE (OWNER OR AGENT)
A'D LC
70ATE SIGNED
U1 _
d ia <
OCCUPANCY
GROUP ko
VALUATION
1 1-100
OCCUPANT
LOAD
f 0
Z
APPLICATION APPROVAL
. This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
FICIAL'S SIGN&T RE
771-3202 ,o— DATE
AVrENfION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL, A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OApR I I Mal; ORIGIII(AL — ELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UB
CHAPTER 3. PIMV — 0-.0, rr)l r)
102-78